APPENDICECTOMY
What are the indications of appendicectomy?
· In cases of acute or recurrent acute infection (acute or recurrent acute appendicitis) of the appendix or tumors of the appendix (carcinoid)
· Access to the organs in the right iliac fossa.
· To excise the diseased appendix.
Positions of the patient
Supine.
Anaestheia given
General, epidural or spinal.
· A right gridiron incision is given.
· Caecum is identified and a Taenia coli to the base of the appendix is traced.
· Next the appendix is mobilised to its base by dividing mesoappendix between ligratures.
· The base of appendix is crushed with haemostat and the crushed area is tied with 2/0 silk ligrature.
· A cut is given above tie and appendix is removed and sent for histopathology analysis.
· The appendicular stump is inverted with a purse-string on the caecum.
Instruments used
Appendicectomy set
Any questions be sent to drmmkapur@gmail.com
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